Organization Active NPI

Syed Farhan Zaidi MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Palm Bay, FL
National Provider Identifier
1093420127
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SYED FARHAN ZAIDI MD PLLC
Practice address
5200 Babcock St NE Ste 304
Palm Bay, FL 32905-4648
Phone
(321) 914-3487
Fax
(800) 813-9164
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hart Meyrich
Title
Business Manager
Phone
(407) 340-9039

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

5200 Babcock St NE Ste 304
Palm Bay, FL 32905-4648

Mailing address

PO Box 372889
Satellite Beach, FL 32937-0889
Phone (321) 914-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230324002674 FL Part B Supplier - Clinic/Group Practice 4880068220 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Bay, FL; Rockledge, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2278220Syed Farhan Zaidi MD PLLC5200 Babcock Street NE Suite 201, Palm Bay, FL 32905Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

1300 Florida Ave S
Rockledge, FL 32955
Phone (321) 301-1692

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1093420127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372889",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329370889",
            "telephone_number": "321-914-3487",
            "fax_number": "800-813-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BABCOCK ST NE STE 304",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054648",
            "telephone_number": "321-914-3487",
            "fax_number": "800-813-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED FARHAN ZAIDI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MEYRICH",
        "authorized_official_first_name": "HART",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "407-340-9039"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.